This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site PET-CT facilities
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Routine Genetic Testing for Lynch Syndrome

• Advanced disease services:
• Dedicated Specialist Advanced MDT

• Support service facilities:
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	161	1310	28523
Case ascertainment (%)	Good	Good	Good
Data completeness of:
– Pre-treatment TNM (%)	94	91	86
– Performance status (%)	93	88	88

Patients having major resection:	Trust	Network	National
Number of patients in Audit	86	768	15891
ASA grade 1 (%)	N/A	7	8
ASA grade 2 (%)	90	61	52
ASA grade 3 (%)	10	28	31
ASA grade 4+ (%)	N/A	1	2
ASA grade not recorded (%)	N/A	3	7
Data completeness of:
7 Audit items for risk-adjustment (%)	100	96	87

All Patients:	Trust	Network	National
Number of patients in Audit	161	1310	28523
Seen by Clinical Nurse Specialist (%)	89	82	85

All patients deemed potentially curative	Trust	Network	National
Number of potentially curative patients	51	388	7393
Undergoing major resection (%)	88	83	82

Patients having major resection:	Trust	Network	National
Number of patients in Audit	86	768	15855
Distant metastases (%)	6	8	7
Urgent or emergency surgery (%)	59	19	20
At least 12 lymph nodes excised (%)	97	91	86
Laparoscopic surgery attempted (%)	94	77	67
Risk-adjusted length of stay > 5 days (%)	65	67	56

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	43	457	10794
Adjuvant chemotherapy (%)	63	67	60

Patients having major resection:	Trust	Network	National
Number of patients in Audit	13	178	3481
Neoadjuvant therapy (%)	43	61	38
Circumferential resection margin: Recorded (%)	100	98	89
Circumferential resection margin: Negative (%)	100	90	82
Rectal volume	21	164	3374

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	104	925	19595
APER/Hartmanns (%)	27	30	36